CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (NPI# 1043580681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043580681 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | LEVINE CANCER INSTITUTE |
| Practice Address |
411 Billingsley Rd Suite 103 Charlotte NC 28211-1046 |
| Mailing Address |
Po Box 602120 Charlotte NC 28260-2120 |
| Practice Telephone | 7043441995 |
| Practice Fax Number | 7043441705 |
| Mailing Telephone | 7043441995 |
| Mailing Fax Number | 7046441705 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2013-06-22 |
| Authorized Official Name | PETER ACKER (ADMINISTRATOR) |
| Authorized Official Telephone | 9802121000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPB463 | 05 | |
| NC | 5919395 | 05 |
| Other Name | Type Code |
|---|---|
| Levine Cancer Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841566106 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 16455 Statesville Rd, Suite 200, Huntersville, NC 28078-7135 | 2012-03-30 |
| 1770859126 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2012-03-30 |
| 1700171766 | Charlotte Mecklenburg Hospital Authority | Pharmacy | 4525 Cameron Valley Pkwy, Suite 1200, Charlotte, NC 28211-4369 | 2011-06-17 |
| Street Address |
411 BILLINGSLEY RD SUITE 103 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126517 | Carolinas Cancer Care Pa | Specialist | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1066 | 2005-10-03 |
| 1073979431 | Bunny Yun | Dentist | 411 Billingsley Rd, 102, Charlotte, NC 28211-1046 | 2016-01-14 |
| 1194086744 | Logan Elizabeth Webb | Dentist | 411 Billingsley Rd, Suite 106, Charlotte, NC 28211-1046 | 2012-05-30 |
| 1881992659 | R K Yeager & Assoc Dds Pa & S | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2011-03-03 |
| 1740590074 | Carolinas Physicians Network Inc | Internal Medicine | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1046 | 2010-10-20 |
| 1598959538 | Oms Facility Services LLC | Dentist | 411 Billingsley Rd, Suite 105, Charlotte, NC 28211-1046 | 2007-09-04 |
| 1649475005 | John Carson Nale | Oral & Maxillofacial Surgery | 411 Billingsley Rd, Suite 105, Charlotte, NC 28211-1046 | 2007-06-18 |
| 1962612259 | Stanley Michalski IIi | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2007-05-23 |
| 1518176668 | Thomas Pinnavaia | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2007-05-22 |
| 1780898155 | David Scott | Dentist | 411 Billingsley Rd, Suite 106, Charlotte, NC 28211-1046 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154652469 | Carolinas Hematology-oncology Associates | Internal Medicine | 101 East W.t. Harris Blvd, Ste 1214, Charlotte, NC 28262-3423 | 2010-01-26 |
| 1518965607 | Asim Amin | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2005-07-12 |
| 1871970251 | Novant Medical Group Inc | Internal Medicine | 1718 E 4th St Ste 707, Charlotte, NC 28204-3282 | 2015-05-05 |
| 1992047203 | Jiang Zhu | Internal Medicine | 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 28262-3485 | 2013-03-25 |
| 1295089936 | Novant Medical Group, Inc | Internal Medicine | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2012-11-02 |
| 1811193923 | Brinda Koya | Internal Medicine | 10660 Park Rd, Ste 2100, Charlotte, NC 28210-8413 | 2007-06-25 |
| 1619189529 | Ashley Sumrall | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2007-05-04 |
| 1578683397 | Julie Fisher | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2007-03-29 |
| 1497882369 | Mohamed Salem | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2007-02-27 |
| 1568519411 | Kathryn Mileham | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 3500, Charlotte, NC 28211-4369 | 2007-01-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.